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New development of exercise therapy for type 2 diabetes
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- Author:
- No author available
- Issue:
- 45
- DOI:
- 10.3321/j.issn:1673-8225.2007.45.048
- Key Word:
- 2型糖尿病;运动疗法;生理作用;适应证;禁忌证
Abstract： 目的:总结近年来2型糖尿病运动疗法的研究进展.资料来源:应用计算机检索American Diabetes Association(http://www.diabetes.org/home.jsp)2005/2007的相关文章,检索词"Type 2 diabetes,Exercise therapy",限定文章语言为English.并应用计算机检索中国期刊全文数据库2001-01/2006-12期间的相关文章,检索词"糖尿病的运动疗法",限定文章语言为中文.并手工检索1995-01/2006-12相关专著.资料选择:对资料进行初审,选取与2型糖尿病运动疗法有关的文献.纳入标准:①随机对照研究.②试验包含平行对照组,即饮食控制+药物治疗组.③治疗组为在饮食控制+药物治疗基础上实施运动疗法组.排除综述及重复性研究.资料提炼:共检索到130篇文献,符合纳入标准的30篇,排除5篇重复性研究,2篇meta分析研究.资料综合:①中等强度的有氧耐力运动能够调节糖代谢,降低血糖,增强胰岛素敏感性,延缓糖尿病并发症的发生发展,控制肥胖,降低血脂,提高机体适应性.②运动疗法适用于糖耐量低减、血糖控制良好且无严重并发症的糖尿病患者;运动前应进行必要的检查,以明确能否进行运动疗法.③运动项目因病情不同而异,病情轻者可进行较高强度的运动,病情重者进行较低强度的运动,合适的运动时间为餐后60～90 min,运动前后应做好准备活动和整理活动,运动应遵循循序渐进的原则.结论:运动疗法是2型糖尿病的一种行之有效的治疗方法,并能预防、控制2型糖尿病的发生发展,在临床工作中应该得到足够的重视和普及.
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